Individual
JUDITH MILLER-YAMADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
975 SERENO DR, VALLEJO, CA 94589-2441
(707) 651-1040
Mailing address
18 GADWALL CT, AMERICAN CANYON, CA 94503-1383
(707) 334-6838
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT27816
CA
Other
Enumeration date
08/09/2016
Last updated
01/03/2022
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